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Epigastric hernia

Case contributed by Dr Matt Adams

Presentation

Abdominal pain with nausea and vomiting.

Patient Data

Age: 35 years
Gender: Female
CT

4 cm defect in the epigastric portion of the linea alba forming a hernia containing transverse colon. Locules of gas are favored to be within diverticulae.

No evidence of bowel obstruction proximal to the ingoing transverse colon. Small bowel and colon enhance uniformly. No evidence of free gas or free fluid.

Case Discussion

This case is a good example of a bowel containing epigastric hernia through a large defect in the supraumbilical portion of the linea alba. Most epigastric hernias tend to be much smaller than this case and commonly only contain fat.

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Case information

rID: 70761
Published: 6th Sep 2019
Last edited: 13th Sep 2019
Inclusion in quiz mode: Included

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